Provider Demographics
NPI:1558613232
Name:INSTITUTE FOR FAMILY CENTERED SERVICES
Entity Type:Organization
Organization Name:INSTITUTE FOR FAMILY CENTERED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-367-9200
Mailing Address - Street 1:259 SAMUEL BARNET BLVD
Mailing Address - Street 2:UNIT 2
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-1214
Mailing Address - Country:US
Mailing Address - Phone:508-995-3251
Mailing Address - Fax:508-995-3252
Practice Address - Street 1:3210 SKIPWITH RD
Practice Address - Street 2:SUITE B
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-4443
Practice Address - Country:US
Practice Address - Phone:804-346-0051
Practice Address - Fax:804-346-0494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health